| NPI | 1285084939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN ROSE-LEE WILLIAMS KHMELEV President 210-960-2639 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083B0002X Preventive Medicine Obesity Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center Primary Care (Licence: TX N1222) |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2016-12-30 |